PARTICIPANT
INFORMATION |
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Title |
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First name |
|
Last name |
|
e-mail |
|
please
note that all correspondence and invoicing
will be by e-mail |
INVOICING
INFORMATION |
Organization |
|
Department |
|
Postal Address |
|
Town incl. Zip |
|
Country |
|
Fax |
|
|
VAT number
(for invoicing to organization)
Personal fiscal code
C.F. (for invoicing to private person)
|
|
According
to Italian fiscal rules, this registration form can be accepted only
if either VAT number of the Organization (for invoicing to organization)
or C.F. of the participant (for invoicing to a private person) is
provided.
|
REGISTRATION
FEE |
|
until July 6th
from July 6th
|
Delegate |
|
Accompanying person (refreshment fee) |
|
ACCOMPANYING
PERSON |
This fee includes |
CONFERENCE
DINNER |
A vegetarian menu (without
fish) and a non-vegetarian menu will be served.
If you choose a vegetarian menu please inform the secretariat by sending
a separate email after the submission of this form, otherwise it will
be assumed that you have chosen the non-vegetarian menu. |
PAYMENT
TO AIDIC SERVIZI (tick as appropriate) |
|
CREDIT CARD
(only VISA and MASTERCARD are accepted)
Please make sure that your card has not any
additional security password or any kind of restriction
|
|
BANK
TRANSFER to
(beneficiary) AIDIC Servizi S.r.l.
IBAN CODE: IT72M0306901749000011154138
(bank name and agency number)
BANCA INTESA, Ag. 59
(address) Via CELORIA 2, I-20133
Milano, Italy
SWIFT CODE: BCI T I T 33124
Please make sure that your bank transfer
charges are not deducted from the total payment required.
Please indicate the participant's LAST NAME on the bank transfer
form to avoid mistakes in the attribution of the credit
|
IMPORTANT
NOTES |
- A registration is valid and confirmed only when the
payment of the registration fee is received.
- The deadline for early registration at a reduced
fee refers to the payment date and not to the online registration
submission date.
- Cancellations before August 31st, 2012 will be charged
by 20% costs. Beyond such date the registration fee will not be refunded.
Only written cancellations will be accepted (letter or fax to the
postal address of theNOSE2012 Secretariat, not e-mail).
- Substitutions will be accepted at any time, provided
they are notified to the Secretariat in advance.
We reserve the right to cancel or alter the program
|
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AIDIC Servizi Srl
Via Giuseppe Colombo 81/A 20133 Milano
P.IVA e Codice Fiscale 11667680158
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